Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GLORIANA C. VILLAGO D. D. S., INC.

NPI: 1710007877 · LOS ANGELES, CA 90041 · General Practice Dentistry · NPI assigned 03/30/2007

$60K
Total Medicaid Paid
1,989
Total Claims
1,735
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialVILLAGO, GLORIANA (PRESIDENT)
NPI Enumeration Date03/30/2007

Related Entities

Other providers sharing the same authorized official: VILLAGO, GLORIANA

ProviderCityStateTotal Paid
VILLAGO DENTAL CORPORATION VAN NUYS CA $286K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 611 $19K
2019 313 $12K
2020 330 $7K
2021 221 $7K
2022 321 $8K
2023 103 $4K
2024 90 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 178 177 $15K
D0120 Periodic oral evaluation - established patient 300 300 $15K
D0150 Comprehensive oral evaluation - new or established patient 182 181 $11K
D1208 Topical application of fluoride, excluding varnish 749 741 $9K
D0210 Intraoral - complete series of radiographic images 94 93 $4K
D4341 27 12 $2K
D1120 Prophylaxis - child 55 55 $2K
D0230 Intraoral - periapical each additional radiographic image 312 84 $1K
D0272 Bitewings - two radiographic images 41 41 $492.00
D0220 Intraoral - periapical first radiographic image 39 39 $468.00
D9430 12 12 $384.00